Groups / Programs
Current FHT-wide group related KPI.
Referrals to groups.
What target A1C range correlates with pre-prandial BS levels 6-9 mmol/L and post-prandial levels of < 14 mmol/L?
Target A1C 7.1 - 8.5%
Blank are described as health conditions that can be managed with minimal treatment and/or self-care strategies.
What are minor ailments?
True or false, home visits should be provided when the patients request them.
False - only when the IHP determines it is the best course of action (visual assessment of home needed, mental/physical barriers that prevent patient from attending clinic).
Before implementing a medical directive, you must:
a. ensure that you are competent to do so
b. ensure that you are authorized to do so
c. obtain consent from the patient
d. a and c
e. all of the above
e. all of the above
Name of in-person only group at present.
Recommended max dose of metformin for patients with eGFR 30-45 mL/min.
Metformin ≤1000mg daily
A patient specific, verbal or written request for a procedure, treatment, drug or intervention for an individual patient that is provided by an individual practitioner for a specific intervention to be administered at a specific time(s).
What is a direct order?
True or false, it is acceptable to leave early as long as you work through your lunch and/or skip your breaks.
False - Under Ontario's Employment Standards Act, 2000 (ESA), employees are required to have one 30-minute meal break for every five hours of consecutive work.
Who can provide a direct order (TVFHT)?
Nurse Practitioners or Physicians.
Which of the following group(s) are treatment based (vs. educational):
Best Weight
Mind Over Mood
Living Mindfully
Mind Over Mood
Iron deficiency, B12 deficiency, ↓ erythropoiesis, alcoholism, chronic renal failure, splenectomy
Factors that can increase A1C.
This should be noted in both your outlook calendar, in addition to the EMR schedule.
What is your vacation / availability?
What is/are the rationale(s) for the change in UpToDate access?
-to annoy our MD partners who were using it for free
-improve access for staff (remote and on-site access)
-to be compliant with purchasing agreement
-improve access for staff (remote and on-site access)
-to be compliant with purchasing agreement
It is this person's responsibility to ensure that medical directives are being implemented correctly.
Supervisor
Purpose of encouraging groups first mindset:
-fire TVFHT IHPs (won't need as many staff)
-stepped care approach to population health
-to meet KPI target
Stepped care approach to population health (goal is to save resource intense 1:1 appointments for high-risk complex patients)
Drug class improves postprandial control, well tolerated option for seniors, and has a neutral effect on CVD outcomes.
DPP4-inhibitors
Provision of self-management resources, registration in a group, 1:1 service from an IHP at the TVFHT
What are the steps in a stepped approach to care?
Which are true -COVID 19 / Flu -return to work:
Fourteen activities that are considered to be potentially harmful if performed by unqualified persons.
What are controlled acts?
What kinds of patients can benefit from Mind over Mood?
adult focused group - CBT approach to treating anxiety, depression, self-esteem issues and stress.
Rare side effects for this drug class: increased heart rate, pancreatitis, cholecystitis, acute kidney injury, retinopathy, pancreatic cancer
GLP-1 Agonists
What steps need to be taken to access the Essential Medicines program?
Refer patient (provide information)
Fill out form (Found on EMR)
Patient to fill out Pharmacy depot profile
Where are the most up-to-date medical directives and list of authorizers and implementers found?
Teams - Medical Directives Channel
List 4 out of the 5 general requirements for the implementer to document in the EMR when using a medical directive.
Name and # of directive, name & credentials of implementer, and name of the physician authorizer.